Individual provider Active NPI

Karen M Verdelli, LCSW

  • Clinical Social Worker
  • Baileyville, ME
National Provider Identifier
1275793606
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11572 Issued in ME
Practice address
73 Washington St
Baileyville, ME 04694-3429
Phone
(207) 318-8778
Fax
(207) 222-4013
NPI assigned
Jun 10, 2008
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC11572 ME Primary

Addresses

Primary practice location

73 Washington St
Baileyville, ME 04694-3429

Mailing address

73 Washington St
Baileyville, ME 04694-3429
Phone (207) 318-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120920000146 ME Practitioner - Clinical Social Worker 1759539539 Practice locations: Baileyville, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

73 Washington St
Baileyville, ME 04694-3429
Phone 20783935352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11572MEMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1275793606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WASHINGTON ST",
            "city": "BAILEYVILLE",
            "state": "ME",
            "postal_code": "046943429",
            "telephone_number": "207-318-8778",
            "fax_number": "207-222-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 WASHINGTON ST",
            "city": "BAILEYVILLE",
            "state": "ME",
            "postal_code": "046943429",
            "telephone_number": "207-318-8778",
            "fax_number": "207-222-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDELLI",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileyville, ME

Sources for this page

Verify at the official NPI Registry.